Organization Active NPI

Levy Psychological Associates PLLC

  • Clinical Psychologist
  • Austin, TX
National Provider Identifier
1255759239
Registry record updated Apr 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
30923 Issued in TX
Legal business name
LEVY PSYCHOLOGICAL ASSOCIATES PLLC
Practice address
9701 Brodie LN
Suite 205
Austin, TX 78748-6282
Phone
(512) 420-8444
Fax
(512) 233-2961
NPI assigned
Apr 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Elizabeth Levy, PH.D.NPI 1982609400
Title
Owner
Phone
(512) 420-8444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 30923 TX Primary

Addresses

Primary practice location

9701 Brodie LN
Suite 205
Austin, TX 78748-6282

Mailing address

9701 Brodie LN
Suite 205
Austin, TX 78748-6282
Phone (512) 420-8444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140812001294 TX Part B Supplier - Clinic/Group Practice 7416174693 Receives reassigned benefits from 3 practitioners
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

8700 Menchaca Rd
Ste 701
Austin, TX 78748
Phone (512) 420-8444

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396828800000",
    "number": "1255759239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 BRODIE LN",
            "address_2": "SUITE 205",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787486282",
            "telephone_number": "512-420-8444",
            "fax_number": "512-233-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 BRODIE LN",
            "address_2": "SUITE 205",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787486282",
            "telephone_number": "512-420-8444",
            "fax_number": "512-233-2961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVY PSYCHOLOGICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-07",
        "last_updated": "2014-04-07",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-420-8444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "30923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.